Laserfiche WebLink
ACOR <br />CERTIFICATE OF LIABILI DATE <br />TY INSURANCE <br />M <br />1. <br /> <br />PRODUCER (949) 263-0606 FAX (949)263-0906 <br />Complete Insurance, Inc. 1 <br />8/2005 <br />1/1/z/zoos <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />California DOI #0437762 <br /> <br />19000 Ma <br />A <br />Bl <br />h <br />d <br />l HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />rt <br />c <br />ur <br />v <br />., PH F <br />r <br />ine, CA 92612-1447 INSURERS AFFORDING COVERAGE NAIC 0 <br />I O nson- ran SSOClateS, nC. INSURERA: Fidelity Guaranty Ins. Under <br />SiSO E. Hunter Avenue INSURERS: FidEE & Guaranty Ins Co <br /> <br />Anaheim, CA 92807 INSURERQ (c/o St. Paul Travelers, MN) <br /> NSURER 0 <br /> INSURER E:' <br />I nt `-UL,uts Ur msUl t LIDI tU BELUW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERMOR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. . <br />IN R O TYPE OF INSURANCE POLICYNUMBER- POLX:Y NE <br />L I, POLICY EXPIRATON <br />LIMITS <br />GENERAL LIAMUTY - 6KO195797Z 12/01/2005 12 O1 2006 EACH OCCURRENCE s 1000 00 <br />X COMMERCIAL GENERAL LIABILITY DA REV . <br />$ 300,000 <br />- CLAWS MADE OOCCUR 1 <br /> MED EXP("one pion) S - 19' <br />000 <br />A . <br />PERSONALSADVINJURY . $ 1.00000 <br /> GENERAL AGGREGATE , f 21000 <br />00( <br />GEML AGGREGATE LIMIT APPLIES PER: 1 <br />PRODUCTS-COMPIOPAGG $ 2 <br />000 <br />00( <br />POLICY M X JECT 1 LoC , <br />, <br /> AU TOMOBILE LIABILITY. BA01669594 12/01/2005 12/01/2006 <br /> <br />X <br />ANY AUTO COMBINED SINGLE LIMIT <br />(&aGdent) <br />S <br /> 1.000,00( <br /> ALL OWNED AUTOS <br /> <br />SCHEDULED AUTOS - BOOR" INJURY <br />(Per penon) 3 <br />B <br /> X HIRED AUTOS <br /> <br /> <br />X <br /> <br />NON-OWNEDAUTOS BODILY INJURY <br />JIMI) <br />(PW (PSr SC SOCWenO <br /> <br />3 <br /> <br /> PROPERTY DAMAGE S <br /> (Per weld.t) <br /> GAR AGE LIABILITY - AUTO ONLY - EA ACCIDENT S <br /> F <br />I ANY AUTO <br />OTHER THAN EA ACC <br />5 <br /> AUTO ONLY: AGG S <br /> EXC ESS/UMBRELLA LIABILITY BKO1957972 12/01/200$ 12/01/2006. EACH OCCURRENCE S 4.000.00( <br /> X OCCUR F1 CLAIMS MADE <br /> AGGREGATE 3 4,000.00 <br />A <br /> f 0 <br /> DEDUCTIBLE <br />$ <br /> ' RETENTION 3 3 <br /> WORKERS COMPENSATION AND WO A - <br /> EMPLOYERS': LIABILITY <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.. EACH ACCIDENT 3 <br /> OFFICERIMEMBER INCLUDED? <br />11yeM Oaaalee <br />undx <br />@. <br />L DISEASE - EA EMPLOYE <br />$ <br /> SPECIALPROVISIONS eaISN <br /> E.L. DISEASE-POLICY LIMIT S <br />OTHER 10 day notice applies to <br /> non-payment <br />DESC OF OP I 7IO V!C /FXCIUSIO ADDlD BY ENDORSEMENT ISPECI ON <br />ertj Cate H0)7er S ZN&t onaJ Insure as respects Generalt"L a it ty but only if required by written <br />ontract with the Named Insured prior to an occurrence and as per coverage form CL/BF26090903. Coverage <br />ubject to all policy terms and conditions. <br />City of Santa Ana, <br />its officers, employees, agents and <br />representatives <br />• 20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />ACORD 25 (2001108) <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL *NVO t N MAIL <br />30 DAYS WRITTEN NOTICE TO THE CERnPX;ATe HOLDER NAMED TO THE LEFT, <br />YNXIDCXNK=NOBfOtXXW4WA01XKif7 )IXlB(d80W4TMX,16XXXXX <br />RACORD CORPORATION 1011111